Email Address.........................................................………..(compulsory, yours or an alternative one which can be used for communication purposes). Please write legibly.

Hobbies and Interests.............................................................................................................And any skills or knowledge that you may like to share with the Association?:-…............................................................................................…………………..................(i) I hereby apply for membership of the Association (which is based on similar principles to that of the University of the Third Age in Great Britain).(ii) I accept and agree that the Association cannot (nor any of it's officers, group leaders orindividualmembers of the Association) be held liable for any loss or damage, personal or otherwise, from whatever cause arising from my membership and/or lawful activities of the Association.(iii) I hereby agree to abide by the Association's Constitution dated 28th May 2011 (which can be viewed on the Association's web site:- u3aaxarquia.com) and to inform you immediately of any changes in my address, phones numbers or email address.(iv) I agree to pay a Membership Fee of 12€ for the current membership year(1st January to 31st December); However, if joining after January, the Membership Fee will be calculated on a pro rata basis by paying instead 1€ for each month (to include the current joining month) left unexpired in the current membership year. (For example, if joining in February the reduced membership fee will be 11€; in March, 10€; in April 9€, and so on).